Academics

Application

STEM Division Undergraduate Research Application

Name*

FirstLast

Student ID Number*

Current GPA*

Email*

Cell Phone

Expected graduation semester from Union County College*

Are you legally eligible to work in the United States?*

Yes

No

References

References -Please list two Union County College professors who you feel are familiar with your academic qualifications and ability to work with people. At least one reference must be from your specific major.

1 - First and Last Name*

1 - Email*

2 - First and Last Name*

2 - Email*

Application Details

Why are you well suited to be part of the Union County College Research Program?*

How will the Union County College Research program help you attain your personal career goals?*

What classes have you taken already that would make you eligible for a specific research assignment?*

Please identify any existing commitments during the current Semester. Participating in other commitments will not preclude you from being selected. This is asked to facilitate scheduling. Some areas to consider are summer classes (with the total credits you will be taking), other employment (with the estimated weekly hours), and any plans to travel.*

What are your research interests? (What topics or fields do you find interesting?)*

Signature

I hereby understand that my cumulative GPA will be verified, and my student record will be reviewed
regarding my standing with Union County College. My signature below also indicates that I have
read and understand the requirements and responsibilities of the position as outlined. To the best
of my knowledge, the information in this application is accurate.
By signing this document:
• I consent to the review of my transcripts for verification purposes.
• I waive my right of access to recommendations prepared for this application.
• I agree to provide a written acceptance of a position within 7 days of an offer being made.
• I agree to participate in all activities during the program.
• I agree to submit a written report and program evaluation within 30 days of the program.